MARK K BATESOLE, DDS, MS, INC
NPI: 1114538253
· VENTURA, CA 93003
· Pediatric Dentist
· NPI assigned 08/12/2020
$163K
Total Medicaid Paid
Provider Details
| Authorized Official | BATESOLE, MARK (PRESIDENT) |
| NPI Enumeration Date | 08/12/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
72 |
$2K |
| 2022 |
457 |
$25K |
| 2023 |
576 |
$62K |
| 2024 |
613 |
$74K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
|
396 |
396 |
$118K |
| D0340 |
|
320 |
319 |
$16K |
| D0140 |
|
331 |
330 |
$12K |
| D0330 |
|
353 |
351 |
$10K |
| D0250 |
|
285 |
284 |
$6K |
| D0274 |
|
33 |
33 |
$669.60 |